Stephanie M Padilla, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-54750 Issued in NM

Practice address

8300 Jefferson St NE Ste B
Albuquerque, NM 87113-1734

Phone

(916) 761-5205

NPI assigned

Jul 10, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Miss Stephanie M Nessle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1730675042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 JEFFERSON ST NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131734",
            "telephone_number": "916-761-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 JEFFERSON ST NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131734",
            "telephone_number": "916-761-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NM",
            "license": "1-21-54750",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "NESSLE",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "MA, BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• R. Steven Padilla, MD
• Rhonda Renee Padilla, CNP(NURSE PRACTITION
• Senaida Padilla, LMSW
• Sonya Y Padilla, LMSW
• Stephanie Ashley Padilla, D.D.S.
• Sylvia A Padilla, SW
• Tessa Danielle Padilla
• Vesta Padilla, LPCC, LADAC
• Victor P. Padilla, PH.D
• Victoria Padilla, RN

• Behavior Analyst in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Behavior Analyst in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.